Employer
York Haven Fabricators, Inc.
2850 Lewisberry Rd, York Haven, PA 17370 · EIN 23-3063264 · Oct 1, 2024 to Sep 30, 2025
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $60,429 |
| Dental | Delta Dental | — | — | Schedule A not provided |
| Vision | National Vision Administrators | — | 26 | Comp not disclosed Premium $1,308 |
| Life | Equitable Financial Life Insurance Company Of America | — | — | Schedule A not provided |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
Visible subtotal $6,394
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcgriff Insurance Services (Formerl | Broker | $3,242 | $124.69 |
| The Benecon Group | Broker | $3,152 | $121.23 |